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Penn Medicine, University of Pennsylvania Health System · 17 hours ago

AR Representative

Plumsteadville, PA

Full-time

Onsite

Mid Level

4+ years exp

Penn Medicine is dedicated to providing the highest level of care to patients and conducting innovative research. The Accounts Receivable (AR) Representative is responsible for maximizing revenue by managing collections from third party payers and supporting patient satisfaction and operational targets.

BiotechnologyEducationHealth CareMedicalTraining

Responsibilities

Efficiently and effectively manages Accounts Receivable using established work queues and process flows. Meets established productivity metrics

Proactively works with co-workers to collect on monies due as part of patient responsibility. As needed, works with patients to develop payment plans

Identifies and tracks third party rejection types to determine rejection patterns. Responsible for facilitating maximized revenue for the practice by managing strategies to collect monies from third party payers

Monitors changes to third party reimbursement policies and billing procedures. Informs and/or recommends changes to billing policies

Reviews, processes and challenges all rejections and denials escalating notable trends to the Practice Manager

Identifies issues related to timely filing and communicates appropriately

Process charge files and appends necessary data. May also complete charge entry responsibilities

Effectively manages and resolves charge review, claim edit and credit work queues within the designated benchmark

Meets regularly with Manager to review status of A/R, special projects, and problematic or unusual accounts. Reviews Indicator and Productivity Reports with manager and identifies areas for improvement. Manages special projects related to AR as assigned

Attends all required training sessions, maintains knowledge of systems, internally and externally required of position

Responds to questions, requests, and support calls, efficiently and professionally, within established timeframes

Works effectively to meet project and assignment deadlines

Qualification

Accounts Receivable ManagementPhysician BillingMedical Office ExperienceMedical TerminologyCustomer Service

Required

H.S. Diploma/GED (Required)

Equivalent Experience: 4+ years Experience working within medical office environments

Preferred

1+ years Experience in physician billing responsibilities or accounts receivable management strongly preferred

Bachelor of Arts or Science (Preferred)

Coursework in medical terminology preferred

Experience in the insurance/HMO industry or academic medical center strongly preferred

Benefits

Comprehensive compensation and benefits program

Prepaid tuition assistance programs

Company

Penn Medicine, University of Pennsylvania Health System

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Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.

Founded in 1765

Philadelphia, Pennsylvania, USA

10001+ employees